| NPI | 1568754976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP000280) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-45022) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5007539) | |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2022-03-09 |